Commercial health insurance on-line direct compensation intelligent recommendation system, and method thereof

Abstract

The invention discloses a commercial health insurance on-line direct compensation intelligent recommendation system, and a method thereof. The commercial health insurance on-line direct compensation intelligent recommendation system includes a health commercial insurance front platform, a basic data module, a safety access module, an intelligent query module and a recommendation engine module. The commercial health insurance on-line direct compensation intelligent recommendation system, and the method thereof can solve the problem of how to determine the corresponding claim settlement sequence on line so as to acquire the maximum commercial insurance compensation benefit when a customer has the insurance of a plurality of commercial insurance companies. The commercial health insurance on-line direct compensation intelligent recommendation system, and the method thereof can integrate various types of medical mechanisms with the related information of commercial insurance companies so as to enable a patient to directly complete reimbursement of commercial health insurance on line at a medical mechanism terminal. If the patient has the health insurance of a plurality of commercial insurance companies, the commercial health insurance on-line direct compensation intelligent recommendation system can recommend a related claim settlement scheme according to a corresponding intelligent algorithm so as to maximize the final compensation benefit of the patient.

Description

technical field [0001] The invention relates to the technical field of Internet medical information, in particular to an intelligent recommendation system and method for online direct compensation of commercial health insurance. Background technique [0002] Commercial health insurance is an important part of my country's medical security system. Accelerating the development of commercial health insurance is conducive to consolidating the multi-level medical security system and meeting the diverse health security needs of the people. At this stage, the compensation of commercial health insurance is mainly done manually offline, which is time-consuming and laborious for patients and insurance institutions. If a patient holds health insurance from multiple commercial insurance companies (referred to as: commercial insurance companies) When an insurance company makes a claim, both the patient and the commercial insurance company need to spend more to complete the entire claim p...

AI Technical Summary

Problems solved by technology

At this stage, the compensation of commercial health insurance is mainly done manually offline, which is time-consuming and laborious for patients and insurance institutions. If a patient holds health insurance from multiple commercial insurance companies (referred to as: commercial insurance companies) When an insurance company makes a claim, both the patient and the commercial insurance company need to spend more to complete the entire claim process, which is not conducive to the patient's timely obtaining of commercial health insurance compensation, nor is it conducive to the commercial insurance company's reduction of commercial health insurance. Compensation costs

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